OLIVE ROW CARE HOME

People’s experience of using this service and what we found

The management of the service had failed to recognise staff did not have the required skills and competencies to provide care or record the care given. The provider had placed an area manager and trainer in the home to implement a training and competency programme for all staff.

The provider failed to have systems and process in place to identify people were not always receiving care that met their needs, records were incomplete or that incidents had not been reported or followed up; they failed to have systems in place to identify where people required referral to other health professionals. The provider had placed an area manager in the home to work with the clinical lead to implement the provider’s systems to monitor and improve the quality and safety of care.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last inspection was rated good, published 27 June 2023.

Why we inspected

This targeted inspection was prompted in part due to concerns received about the management of the service, the skills and experience of staff, pressure ulcer prevention, wound management, infection prevention and control, personal care, and recognising deterioration in health. A decision was made for us to inspect and examine those risks.

We use targeted inspections to check concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

We found evidence that people were at risk of harm from these concerns.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Olive Row Care Home is a nursing home providing personal and nursing care to up to 54 people, across three separate units, each of which has separate adapted facilities. One of the units specialised in providing care to people living with dementia.

At the time of our inspection there were 42 people using the service.

People’s experience of using this service and what we found

Staff protected people from the risk of abuse and worked with health care professionals to promote people's safety and well-being. People and family members told us they felt safe, and staff treated them well.

We received positive feedback from people using the service that demonstrated staff treated people with kindness and compassion.

People received support from staff that were recruited safely. There was sufficient staff deployed throughout the service to meet people's needs. Staff received appropriate training and support to fulfil their roles and responsibilities.

Staff meetings had addressed the importance of maintaining accurate care records and following infection controls. This meant people were kept informed and all staff were fully aware of their responsibilities to deliver high quality care.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Feedback from people using the service, relatives and staff was used to drive improvement at the service. The provider engaged with external stakeholders and action plans were in place, which identified key areas for improvement, records showed progress was being made in meeting the actions, which had already started have a positive impact on the service people received.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 26 July 2022).

Why we inspected

The inspection was prompted in part due to concerns about the number of safeguarding incidents at the service. A decision was made for us to inspect and examine those risks. As a result, we undertook a focused inspection to review the key questions of Safe and Well-Led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

We found no evidence during this inspection that people were at risk of harm from this concern and the overall rating remains Good.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Olive Row Care Home on our website at www.cqc.org.uk

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Olive Row Care Home is a residential care home providing personal and nursing care to up to 54 people. The service provides support to older people. At the time of our inspection there were 27 people using the service.

Accommodation is spread across two floors, although at the time of inspection, the top floor of the building was not in use.

People’s experience of using this service and what we found

Risk assessments were in place to manage risks within people’s lives, and staff understood how to manage risk.

Staff recruitment procedures ensured that appropriate pre-employment checks were carried out.

Medicines were stored and administered safely, and staff had training in this area.

Staffing support matched the level of assessed needs within the service during our inspection. Staff were supervised well and felt confident in their roles.

People told us they enjoyed the food prepared for them, and food and fluid intake was monitored when required. Healthcare needs were met, and people had access to health professionals as required.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Staff treated people with kindness, dignity and respect and spent time getting to know them. Care plans reflected people likes, dislikes and preferences.

An activities programme was in place, and care plans were personalised to individuals. People and their family were involved in their own care planning as much as was possible.

A complaints system was in place and was used effectively.

The manager was open and honest, and worked in partnership with outside agencies to improve people’s support when required.

Audits of the service were detailed and any issues found were addressed promptly.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

This service was registered with us on 12 May 2021 and this is the first inspection.

Why we inspected

This was a planned inspection of an unrated service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

We found the following examples of good practice.

Safe arrangements were in place for all visitors to the home. A signing in process on entry into the home ensured necessary COVID-19 checks were completed. These involved people entering the home showing evidence of being fully vaccination against COVID-19 unless they had an exemption. Taking a rapid flow device (LFD) test and temperature check. Within the front entrance to the home, personal protective equipment (PPE), including face masks, disposable gloves, and aprons were available for all visitors to use.

Posters were on display on the importance of regular hand washing / hand sanitisation, social distancing and the wearing of PPE. These measures helped keep people using the service, staff and visitors stay safe.

Staff received infection control training and specific training on reducing the risks of the transmission of COVID-19. Training included the importance of following good handwashing practices and the procedure for safely putting on and taking off (donning and doffing) PPE. Staff had a separate changing area where they were able to change their clothes before the start and the end of their shift.

Staff had access to enough supplies of PPE including disposable facemasks, face visors, gloves, aprons and disinfectant wipes. Hand sanitiser stations were available throughout the home in communal and private areas and used PPE was disposed of safely to reduce the risk of cross contamination.

A programme of routine testing for COVID-19 was in place for all people using the service and staff. This meant swift action could be taken should anyone receive a positive result.

Enhanced cleaning and disinfection took place throughout the home to reduce the risk of the spread of infection. This included regular cleaning of frequently touched areas such as, light switches, call bells, door handles and handrails. Cleaning checklists were used to record and monitor when cleaning tasks had taken place.

Contaminated items were laundered separately, and cleaning equipment was decontaminated after use.

Policies, procedures, risk assessments and guidance relating to COVID-19 were up to date, which supported staff to keep them and others safe. Systems were in place to ensure staff and visitors to the service were kept up to date with current COVID-19 guidance.

Regular infection control audits were completed and the provider and manager had oversight of infection prevention and control processes.

COVID-19 outbreaks followed current guidance and advice from the healthcare protection team (HPT) to contain and manage outbreaks. This included, isolation, cohorting and zoning to manage the spread of infection. People were supported to isolate in their rooms when necessary.